Individual
DR. VIKAS BHUSHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 FOREST LN, BLDG D, SUITE 400, DALLAS, TX 75230-2505
(972) 566-7790
(972) 566-5819
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
L5251
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179220201
—
TX
05
—
179220202
—
TX
05
—
179220203
—
TX
01
—
8U7562
BLUE CROSS OF TEXAS
TX
Enumeration date
06/14/2006
Last updated
05/27/2008
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